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男,43岁。因“发冷发烧、腰痛、尿频、排尿痛3d”入院。55d 前,被狂犬咬伤,同时被咬的另1人已确诊为狂犬病住院。既往无肾炎病史。查体:T36℃,BP16.0/7.3kPa。神志清楚,表情安静。双肺无异常。心率84次/min,可闻及早搏6次/min。膀胱区压痛(+)。实验室检查:尿常规正常。血常规Hb120g/L,RBC4.3×10~(12)/L,WBC12.0×10~9/L,血沉2mm/h,血BUN12.5mmol/L,CO_2CP_(17)mmol/L。EKG 示频发室早。B 超双肾声像图未见异
Male, 43 years old. Because of “cold fever, back pain, frequent urination, pain in urination 3d” admission. 55d ago, was bitten by rabies, while the other was bitten by the rabies hospitalized. No previous history of nephritis. Physical examination: T36 ℃, BP16.0 / 7.3kPa. Conscious, quiet expression. No abnormal lungs. Heart rate 84 beats / min, can be heard and premature beats 6 times / min. Bladder area tenderness (+). Laboratory tests: normal urine. Blood routine Hb120g / L, RBC4.3 × 10-12 / L, WBC12.0 × 10 ~ 9/L, erythrocyte sedimentation rate 2mm / h, blood BUN12.5mmol / L, CO_2CP_ (17) mmol / L. EKG show room made early. B super-renal sonographic no different